JP2013106924A - Temperature-responsive chondrocyte-containing fluid formulation for cartilaginous tissue regeneration, production method, and utilization method of the same - Google Patents

Temperature-responsive chondrocyte-containing fluid formulation for cartilaginous tissue regeneration, production method, and utilization method of the same Download PDF

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JP2013106924A
JP2013106924A JP2011268341A JP2011268341A JP2013106924A JP 2013106924 A JP2013106924 A JP 2013106924A JP 2011268341 A JP2011268341 A JP 2011268341A JP 2011268341 A JP2011268341 A JP 2011268341A JP 2013106924 A JP2013106924 A JP 2013106924A
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Kazuaki Muramatsu
和明 村松
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Abstract

PROBLEM TO BE SOLVED: To provide a cartilaginous tissue regeneration medial formulation capable of increasing phenotypic expressions of chondrocytes thereby suppressing inflammation of a recipient site.SOLUTION: In a temperature-responsive chondrocyte-containing fluid formulation, hyaluronic acid grafted to a polymer whose hydration force changes in the temperature range of 0-80°C is dissolved in saline, and 1×10pieces to 1×10pieces of cells are dispersed per ml of the formulation.

Description

本発明は、生物学、医学等の分野において有用な軟骨組織再生用製剤に関するものであり、またその製造方法及びその利用方法に関するものである。  The present invention relates to a preparation for cartilage tissue regeneration useful in fields such as biology and medicine, and also relates to a production method and a utilization method thereof.

日本は高齢化社会を迎え、平均寿命は世界最高となっている。人々の希望は単なる延命よりも、より良く生きるというクオリティー・オブ・ライフ(QOL)に重点が置かれるようになってきた。その中で注目される1つに運動機能障害が上げられる。運動機能障害の原因となる関節炎にはさまざまな疾患が含まれるが、アメリカにおいては2002年に実に7000万人以上の患者が何らかの関節炎、或いは慢性の関節症状を訴えて受診している。これは成人3人に1人に達し、更に2020年までに倍増することが予想されている。日常生活の不具合を生じる割合は心疾患に次いで第2位であり、1年に862億ドルもの医療費がかかっている。このうち変形性関節症は45歳以上で2000万人以上にのぼり、主要な原因の1つである。日本でも変形性関節症の発症は多く、45〜65歳で30%、65歳以上では63〜85%の有病率となり、日本での総患者数は100万人に達し毎年90万人の新規患者が発生すると考えられている。変形性関節症等を代表とする運動器疾患は、臓器の疾患と異なり直接生命を脅かすことは少ないものの、人間の手足の自由を奪い、そのQOLを著しく低下させる。これらの運動器疾患は今後の高齢化によってますます増加することが予測され、このような障害による人的、社会的損失は極めて大きいものである。  Japan has an aging society and the average life expectancy is the highest in the world. People's hope has come to focus on quality of life (QOL) to live better than just prolong life. One of the attentions is motor dysfunction. Arthritis that causes motor dysfunction includes various diseases, but in the United States, over 70 million patients in the United States complained of some arthritis or chronic joint symptoms in 2002. This is expected to reach 1 in 3 adults and double by 2020. It is the second most common cause of problems in daily life after heart disease, and costs 86.2 billion dollars a year. Of these, osteoarthritis is one of the main causes, reaching over 20 million people over the age of 45. In Japan, the incidence of osteoarthritis is high, with a prevalence of 30% at the age of 45-65 and 63-85% at the age of 65 and over. The total number of patients in Japan has reached 1 million, 900,000 every year. It is believed that new patients will occur. Although musculoskeletal diseases such as osteoarthritis and the like are unlikely to be directly life threatening unlike organ diseases, they deprive human hands and feet and significantly lower their QOL. These musculoskeletal diseases are expected to increase with the aging of the future, and human and social losses due to such disabilities are extremely large.

これらの運動器疾患の大部分は軟骨組織、骨組織が炎症、或いは損傷を受けることが原因となっている。現在、重度の疾患の場合、金属と超高分子量のポリエチレンとからなる人工関節がその治療に用いられている。しかしながら、埋め込み後10年以上経過すると摩耗し、磨耗粉により種々の望ましくない生体反応が引き起こされるようになる。これらの問題を解決するため耐磨耗性を向上させる研究が行われているが、耐磨耗性において限界が予測される。新たな解決方法として組織再生工学技術を利用した軟骨組織、骨組織の治療が注目されている。この治療方法は患部に培養した軟骨細胞又は骨細胞、及びそれより作り出した軟骨組織、骨組織を移植する方法が考えられている。  Most of these musculoskeletal diseases are caused by inflammation or damage of cartilage tissue and bone tissue. Currently, in the case of severe diseases, artificial joints made of metal and ultra-high molecular weight polyethylene are used for the treatment. However, it wears over 10 years after implantation and the wear powder causes various undesirable biological reactions. In order to solve these problems, studies have been made to improve the wear resistance, but a limit is predicted in the wear resistance. As a new solution, the treatment of cartilage tissue and bone tissue using tissue regeneration engineering technology has attracted attention. As a method for this treatment, a method of transplanting cartilage cells or bone cells cultured in the affected area, and cartilage tissue and bone tissue produced therefrom is considered.

1994年にBrittbergらが関節の非過重部より関節軟骨組織を採取し、単離した軟骨組織細胞を培養し過重部の骨軟骨全層欠損部に移植する治療法を報告(非特許文献1)して以来、1997年にFDAに認可され、ビジネス化され全世界ですでに2万例以上の症例を数える。2〜10年経過の219例の中長期成績は良好で89%に機能改善が認められた(非特許文献2)。一方で、2002年には移植後の細菌感染による死亡事例の報告があり、またCDCの調査では41例の術後感染例が見つかったため、日本でも厚生労働省健康局から日本整形外科学会にこれらの事例の情報提供があり、慎重に扱われるべき問題点もあることを再認識させられた。  In 1994, Brittberg et al. Reported a treatment method in which articular cartilage tissue was collected from the non-overweight part of the joint, and the isolated cartilage tissue cells were cultured and transplanted to the osteochondral full-thickness defect part of the overweight part (Non-patent Document 1). Since then, it has been approved by the FDA in 1997, has been commercialized, and has already counted more than 20,000 cases worldwide. The medium- to long-term results of 219 cases after 2 to 10 years were good, and functional improvement was recognized in 89% (Non-patent Document 2). On the other hand, there were reports of deaths due to bacterial infection after transplantation in 2002, and 41 cases of postoperative infections were found in the CDC survey. I was reminded that there are case examples and there are some issues that should be treated carefully.

国内でも非過重部の関節軟骨から弔離した軟骨細胞や骨髄由来間葉系幹細胞を用いて組織工学的に軟骨組織を作製し、骨軟骨全層欠損例に対しては臨床応用が開始されている。しかし、これらの臨床応用例は外傷性の骨軟骨損傷や離断性骨軟骨炎であり、軟骨欠損範囲がもともと小さな症例の適応だけに限られていた(特許文献1〜3)。現状では、人工関節置換術の治療成績が安定しているために、広範な軟骨組織、骨組織の変性と部分欠損を伴う変形性関節症の治療には踏み込めていないといえる。  In Japan, cartilage tissue was prepared by tissue engineering using chondrocytes separated from non-overweight articular cartilage and bone marrow-derived mesenchymal stem cells, and clinical application has been started for osteoclastic full-thickness cases Yes. However, these clinical application examples are traumatic osteochondral injury and transected osteochondritis, and the range of cartilage defect was originally limited to only small cases (Patent Documents 1 to 3). At present, since the treatment results of artificial joint replacement are stable, it can be said that the treatment of osteoarthritis with extensive cartilage and bone tissue degeneration and partial defects has not been completed.

細胞の培養は、通常、ガラス表面上あるいは種々の処理を行った合成高分子の表面上で行われる。この目的に、例えば、ポリスチレンを材料とする表面処理、例えばγ線照射、シリコーンコーティング等を行った種々の容器等が細胞培養用容器として普及している。このような細胞培養用容器を用いて培養・増殖した細胞は、トリプシンのような蛋白分解酵素や化学薬品により処理することで容器表面から剥離・回収される。しかし、上述のような化学薬品処理を施して増殖した細胞を回収する場合、処理工程が煩雑になり、不純物混入の可能性が多くなること、及び増殖した細胞が化学的処理により変成若しくは損傷し細胞本来の機能が損なわれる例があること等の欠点が指摘されていた。  Cell culture is usually performed on the surface of a glass or a synthetic polymer subjected to various treatments. For this purpose, for example, various containers subjected to surface treatment using polystyrene as a material, for example, γ-irradiation, silicone coating, and the like are widely used as cell culture containers. Cells cultured and proliferated using such a cell culture container are peeled and collected from the container surface by treatment with a protease such as trypsin or a chemical. However, when recovering cells grown by chemical treatment as described above, the treatment process becomes complicated, the possibility of contamination is increased, and the grown cells are altered or damaged by chemical treatment. Disadvantages have been pointed out that there are cases where the original function of cells is impaired.

かかる欠点を克服するために、これまでいくつかの技術が提案されている。その中で、特に特許文献4では、水に対する上限もしくは下限臨界溶解温度が0〜80℃である温度応答性高分子を基材表面に被覆した細胞培養基材上で前眼部関連細胞を培養し、必要に応じて常法により培養細胞層を重層化させ、培養基材の温度を変えるだけで培養した細胞シートを剥離させることで、十分な強度を持った細胞シートの作製が可能となった。また、この細胞シートには基底膜様蛋白質も保持しており、上述したディスパーゼ処理したものに比べ、組織への生着性も明らかに改善されている。また、特許文献5では温度応答性ポリマーで基材表面を被覆又は補填した細胞培養基材上で軟骨組織の細胞を培養し、軟骨細胞シートを得、その後、培養液温度を上限臨界溶解温度以上又は下限臨界溶解温度以下とし、培養した重層化細胞シートを高分子膜に密着させ、そのまま高分子膜と共に剥離させること、及びそれを所定の方法で3次元構造化させることにより、構造欠陥の少ない、in vitroでの軟骨組織として幾つかの機能を備えた細胞シート、及び3次元構造が構築されることを見出した。細胞シートを利用する方法は欠損した組織を効率良く再生させるが、細胞シートを患部へ貼らなければならず、必ずしも簡便な操作で細胞の移植を終わらすことはできなかった。液体の製剤を再生したい軟骨組織へ注入するだけで十分であるような簡便な治療法が求められていた。  In order to overcome such drawbacks, several techniques have been proposed so far. Among them, in Patent Document 4, in particular, an anterior ocular segment-related cell is cultured on a cell culture substrate in which a temperature-responsive polymer having an upper or lower critical dissolution temperature in water of 0 to 80 ° C. is coated on the substrate surface. However, if necessary, it is possible to produce a cell sheet with sufficient strength by layering the cultured cell layer by a conventional method and peeling the cultured cell sheet simply by changing the temperature of the culture substrate. It was. In addition, this cell sheet also retains a basement membrane-like protein, and the engraftment to the tissue is clearly improved as compared with the above-mentioned dispase-treated one. In Patent Document 5, cartilage tissue cells are cultured on a cell culture substrate coated or supplemented with a temperature-responsive polymer to obtain a chondrocyte sheet, and then the culture solution temperature is equal to or higher than the upper critical solution temperature. Alternatively, it is possible to reduce the number of structural defects by lowering the temperature to the lower critical solution temperature or lower, bringing the cultured layered cell sheet into close contact with the polymer film, and peeling it together with the polymer film, and making it three-dimensionally structured by a predetermined method. It was found that a cell sheet having several functions as a cartilage tissue in vitro and a three-dimensional structure are constructed. Although the method using a cell sheet efficiently regenerates a deficient tissue, the cell sheet must be attached to the affected area, and the transplantation of cells cannot always be completed by a simple operation. There has been a demand for a simple treatment method in which it is sufficient to inject a liquid preparation into a cartilage tissue to be regenerated.

特願2001−384446号公報Japanese Patent Application No. 2001-384446 特願2002−216561号公報Japanese Patent Application No. 2002-216561 特願2003−358118号公報Japanese Patent Application No. 2003-358118 特願2001−226141号公報Japanese Patent Application No. 2001-226141 特願2007−505956号公報Japanese Patent Application No. 2007-505956

Brittbergら、New England Journal of Medicine,331(14),889(1994)Brittberg et al., New England Journal of Medicine, 331 (14), 889 (1994). Peterson L、6th Annu.Meet.,American Academic Orthopaedic Surgery(1998)Peterson L, 6th Annu. Meet. , American Academic Orthodox Science (1998) Hunzikerら、The Journal of Bone and Joit Surgery,78−A,721(1996)Hunziker et al., The Journal of Bone and Joy Surgery, 78-A, 721 (1996).

再生医療の現場で、組織から採取した軟骨細胞を採取量が少量であっても脱分化させずに迅速に増殖させ、さらに簡便に患部へ注入できるようになると移植医療技術が飛躍的に発展する。本発明は、このような軟骨再生用液性製剤を提供することを課題とする。  In the field of regenerative medicine, transplantation medical technology will develop dramatically when chondrocytes collected from tissues can be rapidly proliferated without being dedifferentiated even if the amount is small, and can be easily injected into the affected area. . An object of the present invention is to provide such a liquid preparation for cartilage regeneration.

本発明者らは、上記課題を解決するために、0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸を作製し、組織から採取した軟骨細胞や滑膜細胞に与える影響について詳細に検討した。その結果、0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸がそのゲル中に存在する軟骨細胞の機能を発現し、さらに被移植部に生じた炎症を抑える効果を有することを見出した。すなわち、本発明は、軟骨組織を効率良く再生する温度応答性軟骨細胞含有液性製剤を提供する。また、本発明では、その製剤の製造方法を提供する。さらに、本発明はその製剤の利用方法を提供することも目的とする。本発明の温度応答性軟骨細胞含有液性製剤を用いることにより非常に高密度にしかも形質発現した軟骨細胞を移植することができ、早期の組織再生ができるようになる。同時に被移植部の炎症を抑えられることを見出した。したがって、本発明は細胞工学、医用工学、などの医学、生物学等の分野における極めて有用な発明である。
すなわち、本発明は、以下の通りである。
項1.軟骨組織再生のための液性製剤であって、その製剤が生理食塩水に0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸が溶解し、製剤1ml当たり1×10個〜1×10個の軟骨細胞が分散したものであり、被移植部の炎症を抑制する、温度応答性軟骨細胞含有液性製剤。
項2.0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸中のヒアルロン酸含有量が10wt%以上である、請求項1記載の温度応答性軟骨細胞含有液性製剤。
項3.軟骨細胞がヒト正常軟骨細胞である、請求項1、2のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。
項4.軟骨細胞が生体組織から採取されたものである、請求項1〜3のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。
項5.0〜80℃の温度範囲で水和力が変化するポリマーがポリ(N−イソプロピルアクリルアミド)である、請求項1〜4のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。
項6.ポリ(N−イソプロピルアクリルアミド)の分子量が4000〜40000である、請求項1〜5のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。
項7.培地にTGF−βを含む、請求項1〜6のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。
項8.軟骨欠損部へ注入する、請求項1〜7のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。
項9.軟骨欠損部が骨軟骨欠損症、軟骨欠損症、変形性関節症である、請求項8記載の温度応答性軟骨細胞含有液性製剤。
項10.少なくとも0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸を、当該ポリマーの水和力の高い状態のもとで培地或いは生理食塩水中に溶解させ、軟骨細胞を分散させることを特徴とする温度応答性軟骨細胞含有液性製剤の製造方法。
項11.請求項1〜9のいずれか1項記載の温度応答性軟骨細胞含有液性製剤を軟骨欠損部へ注入し、軟骨を再生させることを特徴とする軟骨組織再生方法。
本発明の温度応答性軟骨細胞含有液性製剤を用いることにより非常に高密度にしかも形質発現した軟骨細胞を移植することができ、早期の組織再生ができるようになる。同時に被移植部の炎症を抑えられることを見出した。したがって、本発明は細胞工学、医用工学、などの医学、生物学等の分野における極めて有用な発明である。
In order to solve the above-mentioned problems, the present inventors made hyaluronic acid grafted to a polymer whose hydration power changes in a temperature range of 0 to 80 ° C., and applied it to chondrocytes and synovial cells collected from tissues. The effects were examined in detail. As a result, hyaluronic acid grafted to a polymer whose hydration ability changes in the temperature range of 0 to 80 ° C. expresses the function of chondrocytes present in the gel, and further suppresses inflammation occurring in the transplanted part It was found to have That is, the present invention provides a temperature-responsive chondrocyte-containing liquid formulation that efficiently regenerates cartilage tissue. Moreover, in this invention, the manufacturing method of the formulation is provided. Furthermore, this invention also aims at providing the utilization method of the formulation. By using the temperature-responsive chondrocyte-containing liquid preparation of the present invention, chondrocytes having a very high density and expression can be transplanted, and early tissue regeneration can be performed. At the same time, it was found that inflammation of the transplanted part can be suppressed. Therefore, the present invention is extremely useful in the fields of medicine, biology, etc., such as cell engineering and medical engineering.
That is, the present invention is as follows.
Item 1. A liquid preparation for cartilage tissue regeneration, in which hyaluronic acid grafted to a polymer whose hydration power changes in a physiological saline in a temperature range of 0 to 80 ° C. is dissolved, and 1 × per 1 ml of the preparation A temperature-responsive chondrocyte-containing liquid preparation, which is a dispersion of 10 4 to 1 × 10 7 chondrocytes and suppresses inflammation in a transplanted part.
The temperature-responsive chondrocyte-containing fluid according to claim 1, wherein the hyaluronic acid content in the hyaluronic acid grafted to the polymer whose hydration power changes in the temperature range of 2.0 to 80 ° C is 10 wt% or more. Formulation.
Item 3. The temperature-responsive chondrocyte-containing humoral preparation according to any one of claims 1 and 2, wherein the chondrocytes are human normal chondrocytes.
Item 4. The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 3, wherein the chondrocytes are collected from a living tissue.
Item 5. The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 4, wherein the polymer whose hydration power changes in a temperature range of 5.0 to 80 ° C is poly (N-isopropylacrylamide). .
Item 6. The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 5, wherein the molecular weight of poly (N-isopropylacrylamide) is 4000 to 40000.
Item 7. The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 6, wherein the medium contains TGF-β.
Item 8. The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 7, which is injected into a cartilage defect.
Item 9. The temperature-responsive chondrocyte-containing liquid preparation according to claim 8, wherein the cartilage defect part is osteochondral defect, cartilage defect, or osteoarthritis.
Item 10. Dissolve chondrocytes by dissolving hyaluronic acid grafted to a polymer whose hydration ability changes at a temperature range of at least 0 to 80 ° C. in a medium or physiological saline under the high hydration state of the polymer. A method for producing a temperature-responsive chondrocyte-containing liquid preparation characterized by comprising:
Item 11. A method for regenerating cartilage, comprising injecting the temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 9 into a cartilage defect portion to regenerate cartilage.
By using the temperature-responsive chondrocyte-containing liquid preparation of the present invention, chondrocytes having a very high density and expression can be transplanted, and early tissue regeneration can be performed. At the same time, it was found that inflammation of the transplanted part can be suppressed. Therefore, the present invention is extremely useful in the fields of medicine, biology, etc., such as cell engineering and medical engineering.

本発明によれば、組織から採取した軟骨細胞の形質発現を著しく高めることを可能とする。また、本発明で提供される温度応答性軟骨細胞含有液性製剤を利用すれば、被移植部の炎症を抑えられ、軟骨組織再生医療製剤として利用範囲が広くなる。  According to the present invention, it is possible to remarkably enhance the expression of chondrocytes collected from a tissue. Moreover, if the temperature-responsive chondrocyte-containing liquid preparation provided in the present invention is used, inflammation in the transplanted part can be suppressed, and the range of use as a cartilage tissue regenerative medical preparation can be widened.

実施例1と比較例1における、組成比が相転移特性に影響を与える結果を示す図である。  It is a figure which shows the result in which the composition ratio in Example 1 and the comparative example 1 influences a phase transition characteristic. 実施例2と比較例2における、ポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体が軟骨細胞の遺伝子発現に及ぼす影響を調べた結果を示す図である。  It is a figure which shows the result of having investigated the influence which the hyaluronic acid derivative grafted with poly-N-isopropylacrylamide in Example 2 and Comparative Example 2 has on the gene expression of chondrocytes. 実施例3と比較例3における、ポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体が軟骨細胞に対して抗炎症性作用をもたらす結果を示す図である。  It is a figure which shows the result in which the hyaluronic acid derivative which grafted poly-N-isopropylacrylamide in Example 3 and Comparative Example 3 brings an anti-inflammatory action with respect to a chondrocyte. 実施例4における、ポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体と軟骨細胞の混合物が、ヌードマウス皮下において硝子軟骨を新生する結果を示す図である。(左よりそれぞれヘマトキシリン&エオジン染色、アルシアンブルー染色、トルイジンブルー染色されたもの。)  In Example 4, the mixture of the hyaluronic acid derivative grafted with poly-N-isopropylacrylamide and the chondrocytes produces results of forming hyaline cartilage subcutaneously in nude mice. (From left, stained with hematoxylin & eosin, alcian blue, and toluidine blue) 実施例5における、細胞増殖因子がポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体と軟骨細胞の混合物から新生される硝子軟骨組織の肥大化・成熟化を促進する結果を示す図である。(左よりそれぞれヘマトキシリン&エオジン染色、アルシアンブルー染色、トルイジンブルー染色されたもの。)  In Example 5, it is a figure which shows the result in which the cell growth factor accelerates | stimulates the hypertrophy and maturation of the hyaline cartilage tissue born from the mixture of the hyaluronic acid derivative which grafted poly-N-isopropylacrylamide, and the chondrocyte. (From left, stained with hematoxylin & eosin, alcian blue, and toluidine blue)

本発明は、軟骨組織再生のための液性製剤であって、その製剤が生理食塩水に0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸が溶解し、軟骨細胞が分散したものである。その際、使用する0〜80℃の温度範囲で水和力が変化するポリマーは、ホモポリマー、コポリマーのいずれであってもよい。このようなポリマーとしては、例えば、特開平2−211865号公報に記載されているポリマーが挙げられる。具体的には、例えば、以下のモノマーの単独重合または共重合によって得られる。使用し得るモノマーとしては、例えば、(メタ)アクリルアミド化合物、N−(若しくはN,N−ジ)アルキル置換(メタ)アクリルアミド誘導体、またはビニルエーテル誘導体が挙げられ、コポリマーの場合は、これらの中で任意の2種以上を使用することができる。更には、上記モノマー以外のモノマー類との共重合、ポリマー同士のグラフトまたは共重合、あるいはポリマー、コポリマーの混合物を用いてもよい。また、ポリマー本来の性質を損なわない範囲で架橋することも可能である。その際、培養、剥離されるものが細胞であることから、分離が5℃〜50℃の範囲で行われるため、温度応答性ポリマーとしては、ポリ−N−n−プロピルアクリルアミド(単独重合体の下限臨界溶解温度21℃)、ポリ−N−n−プロピルメタクリルアミド(同27℃)、ポリ−N−イソプロピルアクリルアミド(同32℃)、ポリ−N−イソプロピルメタクリルアミド(同43℃)、ポリ−N−シクロプロピルアクリルアミド(同45℃)、ポリ−N−エトキシエチルアクリルアミド(同約35℃)、ポリ−N−エトキシエチルメタクリルアミド(同約45℃)、ポリ−N−テトラヒドロフルフリルアクリルアミド(同約28℃)、ポリ−N−テトラヒドロフルフリルメタクリルアミド(同約35℃)、ポリ−N,N−エチルメチルアクリルアミド(同56℃)、ポリ−N,N−ジエチルアクリルアミド(同32℃)などが挙げられる。本発明に用いられる共重合のためのモノマーとしては、ポリアクリルアミド、ポリ−N、N−ジエチルアクリルアミド、ポリ−N、N−ジメチルアクリルアミド、ポリエチレンオキシド、ポリアクリル酸及びその塩、ポリヒドロキシエチルメタクリレート、ポリヒドロキシエチルアクリレート、ポリビニルアルコール、ポリビニルピロリドン、セルロース、カルボキシメチルセルロースなどの含水ポリマーなどが挙げられるが、特に制約されるものではない。その際、そのポリマー鎖の分子量は4000〜40000が良く、好ましくは10000〜30000、さらに好ましくは15000〜20000が良い。分子量が4000より小さいと本発明の製剤をゲル化させられず好ましいものではなく、逆に分子量が40000より大きい場合はそのゲルの強度が上がり操作性が悪くなり、本発明の材料として好ましくない。本発明とは、本製剤の製造時、並びに本製剤を生体内に注入する際にはこのポリマーの水和力を高めた状態とし、製剤を後述する液性媒体に溶解させ、操作性を高めることができる。一方、生体内に移植した後は、本製剤は患部でゲル化し患部で長期間、滞留させることができるものである。  The present invention relates to a liquid preparation for cartilage tissue regeneration, in which hyaluronic acid grafted to a polymer whose hydration power changes in physiological saline in a temperature range of 0 to 80 ° C. Cells are dispersed. At that time, the polymer whose hydration power changes in the temperature range of 0 to 80 ° C. may be either a homopolymer or a copolymer. Examples of such a polymer include polymers described in JP-A-2-21865. Specifically, for example, it can be obtained by homopolymerization or copolymerization of the following monomers. Examples of the monomer that can be used include a (meth) acrylamide compound, an N- (or N, N-di) alkyl-substituted (meth) acrylamide derivative, or a vinyl ether derivative. Two or more of these can be used. Furthermore, copolymerization with monomers other than the above monomers, grafting or copolymerization of polymers, or a mixture of polymers and copolymers may be used. Moreover, it is also possible to crosslink within a range that does not impair the original properties of the polymer. In this case, since the cells to be cultured and peeled are cells, separation is performed in the range of 5 ° C. to 50 ° C., and as the temperature-responsive polymer, poly-Nn-propylacrylamide (of a homopolymer) Lower critical solution temperature 21 ° C), poly-Nn-propylmethacrylamide (27 ° C), poly-N-isopropylacrylamide (32 ° C), poly-N-isopropylmethacrylamide (43 ° C), poly- N-cyclopropylacrylamide (at 45 ° C), poly-N-ethoxyethylacrylamide (at about 35 ° C), poly-N-ethoxyethylmethacrylamide (at about 45 ° C), poly-N-tetrahydrofurfurylacrylamide (at the same) About 28 ° C.), poly-N-tetrahydrofurfuryl methacrylamide (about 35 ° C.), poly-N, N-ethylmethyl acetate Ruamido (the 56 ° C.), poly -N, N-diethyl acrylamide (the 32 ° C.), and the like. As monomers for copolymerization used in the present invention, polyacrylamide, poly-N, N-diethylacrylamide, poly-N, N-dimethylacrylamide, polyethylene oxide, polyacrylic acid and salts thereof, polyhydroxyethyl methacrylate, Examples thereof include water-containing polymers such as polyhydroxyethyl acrylate, polyvinyl alcohol, polyvinyl pyrrolidone, cellulose, carboxymethyl cellulose, and the like, but are not particularly limited. At that time, the molecular weight of the polymer chain is preferably 4000 to 40000, preferably 10,000 to 30000, and more preferably 15000 to 20000. When the molecular weight is less than 4000, the preparation of the present invention cannot be gelled, which is not preferable. On the other hand, when the molecular weight is higher than 40000, the gel strength increases and the operability deteriorates, which is not preferable as the material of the present invention. The present invention refers to a state in which the hydration power of the polymer is increased at the time of manufacturing the preparation and when the preparation is injected into a living body, and the preparation is dissolved in a liquid medium to be described later to improve operability. be able to. On the other hand, after transplantation into a living body, the preparation gels in the affected area and can be retained in the affected area for a long time.

本発明に使われるヒアルロン酸は、その由来としては、例えば鶏冠、臍帯、或いは乳酸菌、連鎮球菌等が挙げられるが特に限定されるものではない。またその分子量についても限定されるものではないが、ヒアルロン酸の分子量は通常、40万〜200万のものであり、本発明の場合、この範囲の分子量のものでも良いが、好ましくは70万〜150万のものが良く、最も好ましいものとして80万〜100万のものが挙げられる。分子量が200万より大きいと操作性が悪くなり本発明として好ましくない。  The hyaluronic acid used in the present invention can be derived from, for example, chicken crown, umbilical cord, lactic acid bacteria, streptococci and the like, but is not particularly limited. The molecular weight is not limited, but the molecular weight of hyaluronic acid is usually 400,000 to 2,000,000. In the present invention, the molecular weight may be within this range, but preferably 700,000 to One of 1,500,000 is preferable, and the most preferable one is 800,000 to 1,000,000. When the molecular weight is larger than 2 million, the operability is deteriorated, which is not preferable for the present invention.

本発明では、これら0〜80℃の温度範囲で水和力が変化するポリマーとヒアルロン酸とを共有結合により結合させたものを利用する。その方法は特に限定されるものではないが、例えば、ヒアルロン酸に対し0〜80℃の温度範囲で水和力が変化するポリマーの原料となるモノマーをグラフト重合させる方法、ヒアルロン酸に対しあらかじめ作製したおいた0〜80℃の温度範囲で水和力が変化するポリマーをグラフト重合させる方法、ヒアルロン酸と0〜80℃の温度範囲で水和力が変化するポリマーを架橋させる方法等が挙げられる。得られた0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸中のヒアルロン酸含有率は限定されるものではないが、ポリマー総量に対するヒアルロン酸の重量比にして10%以上が良く、好ましくは15%以上のものが良く、さらに好ましくは25%以上のものが良く、最も好ましくは20%以上のものが良い。ヒアルロン酸の含有率が10%より低いと、軟骨細胞の形質の高発現できず、被移植部の炎症を抑える効果が得られず本発明で使う材料として好ましくなく、逆に、25%より高いと操作性が悪くなり本発明として好ましくない。  In the present invention, a polymer in which the hydration power changes in the temperature range of 0 to 80 ° C. and hyaluronic acid bonded by a covalent bond is used. Although the method is not particularly limited, for example, a method of graft polymerization of a monomer that is a raw material of a polymer whose hydration power changes in a temperature range of 0 to 80 ° C. with respect to hyaluronic acid, prepared in advance with respect to hyaluronic acid And a method of graft polymerizing a polymer whose hydration power changes in a temperature range of 0 to 80 ° C., a method of crosslinking hyaluronic acid and a polymer whose hydration power changes in a temperature range of 0 to 80 ° C., and the like. . The hyaluronic acid content in the hyaluronic acid grafted to the obtained polymer whose hydration power changes in the temperature range of 0 to 80 ° C. is not limited, but it is 10 by weight ratio of hyaluronic acid to the total amount of polymer. % Or more, preferably 15% or more, more preferably 25% or more, and most preferably 20% or more. If the content of hyaluronic acid is lower than 10%, the trait of chondrocytes cannot be highly expressed, and the effect of suppressing inflammation of the transplanted part cannot be obtained, which is not preferable as a material used in the present invention. Conversely, it is higher than 25%. The operability deteriorates and is not preferable as the present invention.

本発明の温度応答性軟骨細胞含有液性製剤の作製に使用される好適な細胞として軟骨細胞、軟骨前駆細胞、滑膜由来細胞、滑膜幹細胞、骨芽細胞、間葉系幹細胞、脂肪由来細胞、脂肪由来幹細胞のいずれか1種、もしくは2種以上の細胞が混合されたものが挙げられるが、その種類は、何ら制約されるものではない。その際の混合比率も特に限定されるものではない。本発明の示すところの温度応答性軟骨細胞含有液性製剤中の細胞密度は培養される細胞によっても異なるが、製剤1ml当たり1×10〜1×10個の細胞が分散したものが良く、好ましくは5×10〜8×10個のものが良く、さらに好ましくは1×10〜5×10個のものが良く、最も好ましくは5×10〜1×10個のものが良い。細胞密度が、製剤1ml当たり1×10個より低いとき、軟骨組織を再生する効果が得られず本発明として好ましくなく、逆に、1×10個より多くなると細胞と細胞とが凝集し易くなり本発明として好ましくない。さらに、本発明で用いられる細胞は、生体組織から直接採取した細胞でも良く、直接採取し培養系等で分化させた細胞でも良く、或いは細胞株でも良いが、その種類は、何ら制約されるものではない。さらに、これらの細胞の動物の由来についても特に制約されるものではないが、例えば、ヒト、ラット、マウス、モルモット、マーモセット、ウサギ、イヌ、ネコ、ヒツジ、ブタ、チンパンジー等の哺乳類、或いはそれらの免疫不全動物等が挙げられるが、本発明の治療用細胞をヒトの治療に用いる場合はヒト、ブタ、チンパンジー由来の細胞を用いる方が望ましい。本発明における細胞培養のための培地は培養される細胞に対し通常用いられるものを用いれば特に制約されるものではない。Chondrocytes, cartilage progenitor cells, synovial cells, synovial stem cells, osteoblasts, mesenchymal stem cells, adipose-derived cells as suitable cells used in the preparation of the temperature-responsive chondrocyte-containing liquid preparation of the present invention Any one of adipose-derived stem cells, or a mixture of two or more types of cells may be mentioned, but the type is not limited. The mixing ratio at that time is not particularly limited. Although the cell density in the temperature-responsive chondrocyte-containing liquid preparation shown in the present invention varies depending on the cells to be cultured, it is preferable that 1 × 10 4 to 1 × 10 7 cells are dispersed per 1 ml of the preparation. Preferably 5 × 10 4 to 8 × 10 6 , more preferably 1 × 10 5 to 5 × 10 6 , most preferably 5 × 10 5 to 1 × 10 6 . Things are good. When the cell density is lower than 1 × 10 4 per 1 ml of the preparation, the effect of regenerating cartilage tissue is not obtained, which is not preferable as the present invention. Conversely, when the cell density exceeds 1 × 10 7 , cells and cells aggregate. It becomes easy and is not preferable as the present invention. Furthermore, the cell used in the present invention may be a cell directly collected from a living tissue, a cell directly collected and differentiated by a culture system or the like, or a cell line, but the kind is not limited at all. is not. Furthermore, the origin of the animal of these cells is not particularly limited. For example, mammals such as humans, rats, mice, guinea pigs, marmosets, rabbits, dogs, cats, sheep, pigs, chimpanzees, etc. Examples include immunodeficient animals. When the therapeutic cells of the present invention are used for human therapy, it is preferable to use cells derived from humans, pigs, and chimpanzees. The medium for cell culture in the present invention is not particularly limited as long as it is a commonly used medium for cells to be cultured.

本発明の培地とは、本発明で使用する細胞を培養するためのものであれば特に限定されるものでないが、培地中に成長因子であるTGF−β等が含まれていても良い。その培地中濃度は5ng/ml以上が良く、好ましくは50ng/ml以上が良く、さらに好ましくは100ng/ml以上が良く、最も好ましくは1000ng/ml以上は良い。例えば、細胞として軟骨細胞や軟骨前駆細胞を用いる場合、TGF−βが5ng/mlより高い濃度であると培養細胞が軟骨細胞として効率良く形質発現し、本発明として好ましい。また、本発明において、その他の培地条件は、常法に従えば良く、培養される細胞に対し通常用いられるものを用いれば特に制限されるものではない。例えば、使用する培地については、公知のウシ胎児血清(FBS、FCS)等の血清が添加されている培地でも良く、また、このような血清が添加されていない無血清培地でも良い。その際、これらの添加量も何ら限定されるものではない。  The medium of the present invention is not particularly limited as long as it is used for culturing the cells used in the present invention, but the medium may contain TGF-β as a growth factor. The concentration in the medium is preferably 5 ng / ml or more, preferably 50 ng / ml or more, more preferably 100 ng / ml or more, and most preferably 1000 ng / ml or more. For example, when chondrocytes or cartilage progenitor cells are used as the cells, if the concentration of TGF-β is higher than 5 ng / ml, the cultured cells are efficiently expressed as chondrocytes, which is preferable in the present invention. In the present invention, other medium conditions may be in accordance with conventional methods, and are not particularly limited as long as those commonly used for cultured cells are used. For example, the medium to be used may be a medium to which serum such as known fetal bovine serum (FBS, FCS) is added, or a serum-free medium to which such serum is not added. At that time, the amount of addition is not limited.

本発明における温度応答性軟骨細胞含有液性製剤の製造方法は、上述した温度応答性ポリマーにグラフト化したヒアルロン酸、細胞、液性媒体を混合すれば良い。その方法は特に限定されるものではないが、あらかじめ生理食塩水に温度応答性ポリマーにグラフト化したヒアルロン酸を溶解させ、その中に生理食塩水中に懸濁した細胞を分散される方法、或いは細胞そのものを分散する方法等が挙げられる。その際、液性媒体は、リン酸緩衝液でも良いが、細胞培養の際に用いられる培地は好ましくない。本発明では、最終的な製剤においてはなるべく培地を除去したものとする方が好ましい。本発明においては、培地を除去する方法も特に限定されないが、通常、遠心分離器、膜ろ過等で細胞だけを回収し、再び生理食塩水中に分散させる方法が使われる。  In the method for producing a temperature-responsive chondrocyte-containing liquid preparation in the present invention, hyaluronic acid grafted on the above-described temperature-responsive polymer, cells, and a liquid medium may be mixed. Although the method is not particularly limited, a method in which hyaluronic acid previously grafted to a temperature-responsive polymer is dissolved in physiological saline, and cells suspended in physiological saline are dispersed therein, or cells For example, a method of dispersing itself. In this case, the liquid medium may be a phosphate buffer, but a medium used for cell culture is not preferable. In the present invention, it is preferable to remove the medium as much as possible in the final preparation. In the present invention, the method for removing the medium is not particularly limited, but usually, a method is used in which only cells are collected by a centrifugal separator, membrane filtration or the like and dispersed again in physiological saline.

かくして得られた温度応答性軟骨細胞含有液性製剤は、軟骨組織再生を促す製剤として多くの特徴を有している。そのことを、軟骨細胞を例にとり、以下に具体的に示す。その一つとして、本製剤であれば、その中に分散されている軟骨細胞の形質発現を高めることができることが挙げられる。その理由は必ずしも明確になっていないが、温度応答性ポリマーにグラフト化したヒアルロン酸が軟骨細胞表層のCD44レセプターと結合し軟骨細胞を安定化させ、軟骨細胞同士の凝集、脱分化を阻止しているためと考えている。また、その安定性のため、製剤中の細胞の密度は通常の細胞培養時より低くても良い。このことは、治療の際に入手できる細胞数が限られるような場合にも有効となる。すなわち、本発明における温度応答性軟骨細胞含有液性製剤を利用することで、限られた細胞数においても良質な細胞を提供できるようになる。また、温度応答性軟骨細胞含有液性製剤中の温度応答性ポリマーにグラフト化したヒアルロン酸は患部でゲル化し、患部を外的な力学的作用から保護させることができる。一般に、患部へ移植された軟骨細胞へ力学的な負荷がかかると線維軟骨へ形質変換することが知られる。例えば、膝関節の軟骨は硝子軟骨であり、線維軟骨とは別の形質の細胞である。本発明の温度応答性軟骨細胞含有液性製剤を膝関節軟骨の再生に利用すれば、患部へ良質な軟骨細胞を供給できるばかりではなく、移植した軟骨細胞を硝子軟骨の形質を保持させることもできるようになるわけである。さらに本製剤中のヒアルロン酸は被移植部の炎症を抑える効果があることも判明した。仮に本製剤を関節鏡等を利用して移植できたとしても、関節鏡が患部に到達するまでに、滑膜等の組織を傷つけることとなる。そのような炎症に対し、本製剤中のヒアルロン酸は炎症を抑える効果を有することも見出した。  The temperature-responsive chondrocyte-containing liquid preparation thus obtained has many characteristics as a preparation for promoting cartilage tissue regeneration. This is specifically shown below by taking chondrocytes as an example. One of them is that the present preparation can enhance the expression of chondrocytes dispersed therein. The reason for this is not always clear, but hyaluronic acid grafted on a temperature-responsive polymer binds to the CD44 receptor on the surface layer of chondrocytes to stabilize chondrocytes and prevent aggregation and dedifferentiation between chondrocytes. I think it is because. In addition, because of its stability, the density of cells in the preparation may be lower than that during normal cell culture. This is also effective when the number of cells available for treatment is limited. That is, by using the temperature-responsive chondrocyte-containing liquid preparation in the present invention, it is possible to provide high-quality cells even in a limited number of cells. Moreover, the hyaluronic acid grafted to the temperature-responsive polymer in the temperature-responsive chondrocyte-containing liquid formulation gels in the affected area, and can protect the affected area from external mechanical action. In general, it is known to transform into fibrocartilage when a mechanical load is applied to the chondrocytes transplanted into the affected area. For example, the cartilage of the knee joint is hyaline cartilage, and is a cell with a different character from fibrocartilage. If the temperature-responsive chondrocyte-containing liquid preparation of the present invention is used for regeneration of knee joint cartilage, not only high quality chondrocytes can be supplied to the affected area, but also transplanted chondrocytes can retain the characteristics of hyaline cartilage. It will be possible. Furthermore, it was also found that hyaluronic acid in this preparation has the effect of suppressing inflammation at the transplanted site. Even if this preparation can be transplanted using an arthroscope or the like, tissue such as the synovium will be damaged by the time the arthroscope reaches the affected area. It has also been found that hyaluronic acid in this preparation has an effect of suppressing inflammation against such inflammation.

本発明の温度応答性軟骨細胞含有液性製剤を患部へ移植する方法は特に限定されるものではなく、例えば患部を切開して注入する方法、内視鏡や関節鏡等を用いて注入する方法等が挙げられるが、患者への負担を軽減するためには後者の方法が好ましく、本発明の温度応答性軟骨細胞含有液性製剤はその後者の方法にも十分に対応できるものである。  The method of transplanting the temperature-responsive chondrocyte-containing liquid preparation of the present invention into the affected area is not particularly limited, and for example, a method of incising and injecting the affected area, a method of injecting using an endoscope, an arthroscope, etc. In order to reduce the burden on the patient, the latter method is preferable, and the temperature-responsive chondrocyte-containing liquid preparation of the present invention can sufficiently cope with the latter method.

本発明の軟骨組織表面とは、軟骨組織、骨組織部であれば特に限定されるものではなく、一般には、関節軟骨、半月板、椎間板、肋軟骨、鼻中隔、耳介骨などが挙げられる。本発明の温度応答性軟骨細胞含有液性製剤はこうした軟骨組織の一部或いは全部を損傷もしくは欠損した患部、もしくは骨組織の一部を損傷もしくは欠損した患部を治療するために用いられ、特に限定されるわけではないが、具体的には関節炎、関節症、軟骨損傷、骨軟骨損傷、半月板損傷、椎間板変性の治療、特に従来技術では治療が困難であった変形性関節症の新規治療法として有効である。このような軟骨組織、骨組織表面に対し、本発明の温度応答性軟骨細胞含有液性製剤の利用法は特に限定されないが、例えば、本温度応答性軟骨細胞含有液性製剤を補填する方法が挙げられる。その際、このように、本発明の温度応答性軟骨細胞含有液性製剤とは、生体組織である軟骨組織、骨組織表面に極めて良好に付着できるものであり、従来技術からでは全く得られなかったものである。  The cartilage tissue surface of the present invention is not particularly limited as long as it is a cartilage tissue or a bone tissue part, and generally includes articular cartilage, meniscus, intervertebral disc, costal cartilage, nasal septum, auricular bone and the like. The temperature-responsive chondrocyte-containing liquid preparation of the present invention is used for treating an affected part in which a part or all of such cartilage tissue is damaged or missing, or an affected part in which a part of bone tissue is damaged or missing, and is particularly limited. Although not specifically, treatment of arthritis, arthritis, cartilage damage, osteochondral damage, meniscus damage, and intervertebral disc degeneration, especially novel treatment methods for osteoarthritis that were difficult to treat with the prior art It is effective as The method of using the temperature-responsive chondrocyte-containing liquid preparation of the present invention is not particularly limited for such cartilage tissue or bone tissue surface. For example, there is a method of supplementing the temperature-responsive chondrocyte-containing liquid preparation. Can be mentioned. At that time, as described above, the temperature-responsive chondrocyte-containing liquid preparation of the present invention can adhere to the surface of cartilage tissue and bone tissue, which are living tissues, and cannot be obtained from the prior art at all. It is a thing.

本発明に示される温度応答性軟骨細胞含有液性製剤の用途は何ら制約されるものではないが、例えば変形性関節症、関節炎、関節症、軟骨損傷、骨軟骨損傷、半月板損傷、椎間板変性の治療に有効である。  The use of the temperature-responsive chondrocyte-containing liquid preparation shown in the present invention is not limited at all, but for example, osteoarthritis, arthritis, arthropathy, cartilage damage, osteochondral damage, meniscal damage, disc degeneration It is effective for the treatment.

本発明の温度応答性軟骨細胞含有液性製剤を利用すれば、組織から採取した軟骨細胞を形質を保持させながら増殖させられる。また被移植部の炎症を抑えることができるようになる。これらの技術は組織再生、細胞分化に係わる再生医療の技術として極めて有効なものと考えられる。  If the temperature-responsive chondrocyte-containing liquid preparation of the present invention is used, chondrocytes collected from tissues can be proliferated while maintaining their traits. In addition, it becomes possible to suppress inflammation in the transplanted part. These technologies are considered to be extremely effective as regenerative medicine technologies related to tissue regeneration and cell differentiation.

以下に、本発明を実施例に基づいて更に詳しく説明するが、これらは本発明を何ら限定するものではない。  Hereinafter, the present invention will be described in more detail based on examples, but these do not limit the present invention in any way.

N−イソプロピルアクリルアミドと2−アミノエタンチオール塩酸塩を出発原料として、アゾイソブチロニトリルを触媒とするラジカル重合法により、アミノ基を末端に有するポリ−N−イソプロピルアクリルアミド(重量平均分子量:約3.7×10)を合成した。このアミノ末端化ポリ−N−イソプロピルアクリルアミドとヒアルロン酸(重量平均分子量:約7.7×10)を5:1の比で混合し、脱水縮合によりポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体を作製した。未反応物および低分子量成分はアセトン洗浄および透析法(分画分子量:25,000)によって除去した。このヒアルロン酸誘導体は鋭敏な温度応答性を有し、下限臨界溶液温度は約32℃であった。なお、下限臨界溶液温度は対象溶液の吸光度変化より求め、相転移時に示す吸光度曲線の傾きの変曲点より概算した。Poly-N-isopropylacrylamide having a terminal amino group (weight average molecular weight: about 3) by radical polymerization using N-isopropylacrylamide and 2-aminoethanethiol hydrochloride as starting materials and azoisobutyronitrile as a catalyst. .7 × 10 4 ) was synthesized. This amino-terminated poly-N-isopropylacrylamide and hyaluronic acid (weight average molecular weight: about 7.7 × 10 5 ) were mixed at a ratio of 5: 1, and hyaluron grafted with poly-N-isopropylacrylamide by dehydration condensation. Acid derivatives were made. Unreacted substances and low molecular weight components were removed by washing with acetone and dialysis (fraction molecular weight: 25,000). This hyaluronic acid derivative had a sensitive temperature response, and the lower critical solution temperature was about 32 ° C. The lower critical solution temperature was determined from the change in absorbance of the target solution, and was estimated from the inflection point of the slope of the absorbance curve shown at the time of phase transition.

比較例1Comparative Example 1

上記のアミノ末端化ポリ−N−イソプロピルアクリルアミドとヒアルロン酸を1:1の比で混合して、ポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体を作製した。このヒアルロンサン誘導体の温度応答性は鈍化し、下限臨界溶液温度は約34.5℃に上昇した。  The amino-terminated poly-N-isopropylacrylamide and hyaluronic acid were mixed at a ratio of 1: 1 to prepare a hyaluronic acid derivative grafted with poly-N-isopropylacrylamide. The temperature responsiveness of the hyaluronsan derivative slowed down, and the lower critical solution temperature increased to about 34.5 ° C.

ウサギ肋軟骨から単離された正常軟骨細胞を初代培養後、実施例1で作製したポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体と混合し、37℃、5%COの条件下で、ウシ胎児血清を10%含むDMEM/F12培地を使用して4週間培養した。このとき、5.0×10個の軟骨細胞に対して、1%濃度のポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体液は50μL使用した。この細胞含有ゲル状物より軟骨細胞の全RNAを抽出し、逆転写−ポリメラーゼ連鎖反応法によってゲル内で生育した細胞の遺伝子発現パターシを解析した。その結果、正常軟骨細胞に特徴的な遺伝子の発現を確認した。Normal chondrocytes isolated from rabbit costal cartilage are first cultured and then mixed with the poly (N-isopropylacrylamide) grafted hyaluronic acid derivative prepared in Example 1 under conditions of 37 ° C. and 5% CO 2 . The cells were cultured for 4 weeks using DMEM / F12 medium containing 10% fetal bovine serum. At this time, 50 μL of a hyaluronic acid derivative solution obtained by grafting 1% concentration of poly-N-isopropylacrylamide to 5.0 × 10 5 chondrocytes was used. Total RNA of chondrocytes was extracted from this cell-containing gel, and the gene expression pattern of cells grown in the gel was analyzed by the reverse transcription-polymerase chain reaction method. As a result, the expression of genes characteristic of normal chondrocytes was confirmed.

比較例2Comparative Example 2

実施例2で初代培養された同じ軟骨細胞を利用して、5.0×10個の軟骨細胞のみから成る凝集塊を作製し、その他の条件は実施例2と同一条件にて4週間培養した。この軟骨細胞塊より全RNAを抽出後、実施例2と等量のRNAからcDNAを合成し、逆転写−ポリメラーゼ連鎖反応法によって発現遺伝子を解析した。その結果、正常軟骨細胞に特徴的な遺伝子の発現を確認したが、実施例2と比較して、転写因子Sox9および細胞外基質アグリカンの遺伝子発現は低下した。Using the same chondrocytes initially cultured in Example 2, an aggregate consisting of only 5.0 × 10 5 chondrocytes was prepared, and other conditions were cultured for 4 weeks under the same conditions as in Example 2. did. After extracting total RNA from this chondrocyte mass, cDNA was synthesized from RNA equivalent to that in Example 2, and the expressed gene was analyzed by the reverse transcription-polymerase chain reaction method. As a result, the expression of genes characteristic of normal chondrocytes was confirmed, but compared to Example 2, the gene expression of transcription factor Sox9 and extracellular matrix aggrecan decreased.

正常軟骨細胞5.0×10個とポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体粘性体の混合物50μLを2週間培養後、培地中に炎症性サイトカインの一つである腫瘍壊死因子−αを添加(10−8M)し、刺激24時間後および72時間後に、細胞外基質の分解に関連するタンパク質の遺伝子発現の変化を実施例2と同様の手法で解析した。その結果、誘導体内でゲル培養された軟骨細胞において、マトリックスメタロプロテアーゼであるMMP3およびMMP13の発現は顕著に抑えられ、腫瘍壊死因子の刺激に対してもその発現抑制能力は維持されていた。即ち、形成された軟骨組織は抗炎症性を示すことが明らかとなった。Tumor necrosis factor, which is one of inflammatory cytokines in the medium, after culturing 50 μL of a mixture of 5.0 × 10 5 normal chondrocytes and a hyaluronic acid derivative viscous material grafted with poly-N-isopropylacrylamide for 2 weeks. α was added (10 −8 M), and changes in gene expression of proteins related to degradation of extracellular matrix were analyzed in the same manner as in Example 2 24 hours and 72 hours after stimulation. As a result, the expression of matrix metalloproteases MMP3 and MMP13 was remarkably suppressed in chondrocytes cultured in a gel in the derivative, and the ability to suppress the expression was maintained even against stimulation of tumor necrosis factor. That is, it was revealed that the formed cartilage tissue exhibits anti-inflammatory properties.

比較例3Comparative Example 3

正常軟骨細胞5.0×10個から成る細胞凝集塊を2週間培養後、実施例3と同様に腫瘍壊死因子で刺激し、実施例3と同様に細胞外基質の分解に関連するタンパク質の遺伝子発現の変化を解析した。その結果、細胞凝集塊の軟骨細胞では、MMP3およびMMP13の発現は検出され、さらに腫瘍壊死因子の刺激によりそれら遺伝子の発現は上昇した。即ち、ポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体を利用しない場合には、軟骨細胞は炎症刺激に対して敏感に応答し、自身の細胞外基質を分解する酵素の発現を活性化することが確認された。Cell aggregates consisting of 5 normal chondrocytes 5.0 × 10 5 were cultured for 2 weeks, then stimulated with tumor necrosis factor in the same manner as in Example 3, and the protein related to the degradation of extracellular matrix as in Example 3. Changes in gene expression were analyzed. As a result, the expression of MMP3 and MMP13 was detected in chondrocytes of the cell aggregate, and the expression of these genes was increased by stimulation with tumor necrosis factor. That is, when a hyaluronic acid derivative grafted with poly-N-isopropylacrylamide is not used, chondrocytes respond sensitively to inflammatory stimuli and activate the expression of enzymes that degrade their extracellular matrix. It was confirmed.

実施例2で初代培養された軟骨細胞とポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体の混合物150μLを、麻酔したヌードマウスの皮下に注入移植した。移植2週間後にヌードマウスから移植物周辺の組織を摘出し、パラフィン包埋切片を準備して、ヘマトキシリン−エオジン染色、アルシアンブルー染色、トルイジンブルー染色を実施した。その結果、ヌードマウスの皮下に硝子軟骨様組織の新生が認められた。  150 μL of a mixture of the chondrocytes initially cultured in Example 2 and a hyaluronic acid derivative grafted with poly-N-isopropylacrylamide was injected and implanted subcutaneously into anesthetized nude mice. Two weeks after transplantation, tissues around the transplant were excised from nude mice, paraffin-embedded sections were prepared, and hematoxylin-eosin staining, Alcian blue staining, and toluidine blue staining were performed. As a result, hyaline cartilage-like tissue was newly formed under the skin of nude mice.

実施例4と同様に、軟骨細胞とポリ−N−イソプロピルアクリルアミドをグラフト化したヒアルロン酸誘導体の混合物を調製し、さらにトランスフォーミング増殖因子−β(TGF−β)が10ng/mL含まれるように添加した後、これら混合物をヌードマウスの皮下に注入移植した。その後、実施例3と同様に組織学的手法によって、移植物周辺の組織を観察した。その結果、ヌードマウスの皮下に硝子軟骨様組織の新生が認められ、形成された軟骨組織は実施例4のものよりも著しい成熟化が認められた。  In the same manner as in Example 4, a mixture of chondrocytes and poly-N-isopropylacrylamide grafted hyaluronic acid derivative was prepared, and added so that transforming growth factor-β (TGF-β) was contained at 10 ng / mL. Thereafter, these mixtures were implanted and implanted subcutaneously into nude mice. Thereafter, the tissue around the transplant was observed by histological techniques as in Example 3. As a result, hyaline cartilage-like tissue was newly formed under the skin of nude mice, and the formed cartilage tissue was markedly matured more than that of Example 4.

本発明によれば、組織から採取した軟骨細胞の形質発現を著しく高めることを可能とする。また、本発明で提供される温度応答性軟骨細胞含有液性製剤を利用すれば、被移植部の炎症を抑えられ、軟骨組織再生医療製剤として利用範囲が広くなる。  According to the present invention, it is possible to remarkably enhance the expression of chondrocytes collected from a tissue. Moreover, if the temperature-responsive chondrocyte-containing liquid preparation provided in the present invention is used, inflammation in the transplanted part can be suppressed, and the range of use as a cartilage tissue regenerative medical preparation can be widened.

Claims (11)

軟骨組織再生のための液性製剤であって、その製剤が生理食塩水に0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸が溶解し、製剤1ml当たり1×10個〜1×10個の軟骨細胞が分散したものであり、被移植部の炎症を抑制する、温度応答性軟骨細胞含有液性製剤。A liquid preparation for cartilage tissue regeneration, in which hyaluronic acid grafted to a polymer whose hydration power changes in a physiological saline in a temperature range of 0 to 80 ° C. is dissolved, and 1 × per 1 ml of the preparation A temperature-responsive chondrocyte-containing liquid preparation, which is a dispersion of 10 4 to 1 × 10 7 chondrocytes and suppresses inflammation in a transplanted part. 0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸中のヒアルロン酸含有量が10wt%以上である、請求項1記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing liquid preparation according to claim 1, wherein the hyaluronic acid content in the hyaluronic acid grafted to the polymer whose hydration power changes in a temperature range of 0 to 80 ° C is 10 wt% or more. 軟骨細胞がヒト正常軟骨細胞である、請求項1、2のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing humoral preparation according to any one of claims 1 and 2, wherein the chondrocytes are human normal chondrocytes. 軟骨細胞が生体組織から採取されたものである、請求項1〜3のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 3, wherein the chondrocytes are collected from a living tissue. 0〜80℃の温度範囲で水和力が変化するポリマーがポリ(N−イソプロピルアクリルアミド)である、請求項1〜4のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 4, wherein the polymer whose hydration power changes in a temperature range of 0 to 80 ° C is poly (N-isopropylacrylamide). ポリ(N−イソプロピルアクリルアミド)の分子量が4000〜40000である、請求項1〜5のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 5, wherein the molecular weight of poly (N-isopropylacrylamide) is 4000 to 40000. 培地にTGF−βを含む、請求項1〜6のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 6, wherein the medium contains TGF-β. 軟骨欠損部へ注入する、請求項1〜7のいずれか1項記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 7, which is injected into a cartilage defect. 軟骨欠損部が骨軟骨欠損症、軟骨欠損症、変形性関節症である、請求項8記載の温度応答性軟骨細胞含有液性製剤。The temperature-responsive chondrocyte-containing liquid preparation according to claim 8, wherein the cartilage defect part is osteochondral defect, cartilage defect, or osteoarthritis. 少なくとも0〜80℃の温度範囲で水和力が変化するポリマーにグラフト化したヒアルロン酸を、当該ポリマーの水和力の高い状態のもとで培地或いは生理食塩水中に溶解させ、軟骨細胞を分散させることを特徴とする温度応答性軟骨細胞含有液性製剤の製造方法。Dissolve chondrocytes by dissolving hyaluronic acid grafted to a polymer whose hydration ability changes at a temperature range of at least 0 to 80 ° C. in a medium or physiological saline under the high hydration state of the polymer. A method for producing a temperature-responsive chondrocyte-containing liquid preparation characterized by comprising: 請求項1〜9のいずれか1項記載の温度応答性軟骨細胞含有液性製剤を軟骨欠損部へ注入し、軟骨を再生させることを特徴とする軟骨組織再生方法。A method for regenerating cartilage, comprising injecting the temperature-responsive chondrocyte-containing liquid preparation according to any one of claims 1 to 9 into a cartilage defect portion to regenerate cartilage.
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JPN6015038859; 再生医療 vol.10 suppl, 20110201, 176-ページ O-25-6 *
JPN6015038860; ORS 2011 Annual Meeting Poster , 201101, Poster No.1824 *
JPN6015038861; Macromolecular Research Vol.14,No.1, 2006, p.87-93 *

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